POSTMENARCHAL ADOLESCENTS
If you see adolescent patients who:
- Are postmenarchal
- Are sexually active and not using birth control
- Are using emergency contraception
- Have previously been pregnant or given birth
- Have not received comprehensive information on contraceptive options
NEXPLANON may be an appropriate birth control option*
- Safety and efficacy of NEXPLANON have been established in patients of reproductive age and are expected to be the same for postpubertal adolescents.
- No clinical studies have been conducted in people younger than 18 years. Use of this product before menarche is not indicated.
The ability of minors to consent to the provision of medical or surgical care or services by a healthcare professional may vary by state. Practitioners should receive appropriate consent, including the consent of parents/guardians where required, prior to insertion or removal of NEXPLANON.
According to the Guttmacher Institute in 2013,
among women in the US who are sexually active, adolescents (aged 15-19) have the highest unintended pregnancy rate of any age group3,†
Counts of pregnancies include births, legal induced abortions and spontaneous fetal losses (ie, miscarriages and stillbirths). The National Center for Health Statistics (NCHS) provides annual counts of births in the United States, as reported in the National Vital Statistics System (via birth certificates). We applied the percentage of women aged 15-19 reporting ever having had sexual intercourse to population totals of women in that age range in each year to calculate the number who were sexually experienced.3
American Academy of Pediatrics (AAP)
AAP recommends counseling on a broad range of appropriate contraceptive options. Long-acting reversible contraception, including the progestin implant and IUDs, should be considered first-line contraceptive choices for adolescents.4
American College of Obstetricians and Gynecologists (ACOG)
ACOG recommends that obstetrician-gynecologists counsel all sexually active adolescents who do not seek pregnancy on the range of reversible contraception methods, including long-acting reversible contraception, and should help make these contraceptives accessible to them.1
Society of Adolescent Health and Medicine (SAHM)
SAHM recommends that healthcare professionals consider the provision of long-acting reversible contraception as first-line pregnancy prevention methods for adolescents and young adults.2